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Ohio rates for HCPCS C9775

Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel(s), when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,444.00 / $7,971.00 / $12,672.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,672.00 / $18,028.12 / $18,028.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,185.00 / $9,153.00 / $60,320.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,873.00 / $10,707.00 / $15,469.00